Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,467.72 / $4,467.72	Facility		$100.00	$4,467.72	$4,467.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.74 / $1,299.46 / $1,693.25	Professional		$1,252.74	$1,299.46	$1,693.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.78 / $2,276.36 / $3,658.32	Professional		$1,274.78	$2,276.36	$3,658.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $2,405.46 / $3,916.68	Professional		$1,256.24	$2,405.46	$3,916.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,459.35 / $2,524.38 / $4,504.28	Professional		$1,459.35	$2,524.38	$4,504.28
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,430.53 / $2,020.75 / $3,822.35	Professional		$1,430.53	$2,020.75	$3,822.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,030.42 / $1,133.46 / $1,442.59	Professional		$1,030.42	$1,133.46	$1,442.59